Implantand autologous breast reconstruction

Post on 12-May-2015

1.519 views 6 download

Tags:

Transcript of Implantand autologous breast reconstruction

Implant and Autologous Implant and Autologous Breast ReconstructionBreast Reconstruction

35 year old female BRCA1 35 year old female BRCA1 positive who has elected to positive who has elected to

undergo bilateral prophylactic undergo bilateral prophylactic nipple sparing mastectomies nipple sparing mastectomies

and single stage breast and single stage breast reconstruction with silicone reconstruction with silicone

breast implantsbreast implants

Breast Reconstruction after Bilateral Nipple Breast Reconstruction after Bilateral Nipple Sparing Mastectomies through Sparing Mastectomies through

Inframammary Incision Using Alloderm and Inframammary Incision Using Alloderm and Silicone Breast ImplantsSilicone Breast Implants

Before After

Breast Reconstruction after Bilateral Breast Reconstruction after Bilateral Nipple Sparing Mastectomies through Nipple Sparing Mastectomies through Inframammary Incision Using Alloderm Inframammary Incision Using Alloderm

and Silicone Breast Implantsand Silicone Breast Implants

Before After

Breast Reconstruction after Bilateral Breast Reconstruction after Bilateral Nipple Sparing Mastectomies through Nipple Sparing Mastectomies through

Inframammary IncisionInframammary Incision

Before After

43 year-old S/P B/L Mastectomies 43 year-old S/P B/L Mastectomies Undergoing Expansion 290 cc /350 Undergoing Expansion 290 cc /350

cc Expandercc Expander

Completion of Expansion at 2.5 Completion of Expansion at 2.5 monthsmonths

Completion of Expansion at 2.5 Completion of Expansion at 2.5 monthsmonths

8 Months After Completion of 8 Months After Completion of ExpansionExpansion

Patient had post-operative chemotherapy Patient had post-operative chemotherapy till three months after completion of till three months after completion of expansion followed by completion of left expansion followed by completion of left chest wall irradiation for three months.chest wall irradiation for three months.

6 Weeks After Completion of 26 Weeks After Completion of 2ndnd Stage Stage ReconstructionReconstruction

6 Weeks After Completion of 26 Weeks After Completion of 2ndnd Stage Stage ReconstructionReconstruction

6 Weeks After Completion of 26 Weeks After Completion of 2ndnd Stage Stage ReconstructionReconstruction

Secondary Breast ReconstructionSecondary Breast Reconstruction

53 year old female with history of bilateral 53 year old female with history of bilateral subpectoral silicone implants placed after subpectoral silicone implants placed after bilateral mastectomies 20 years ago.bilateral mastectomies 20 years ago.

Patient presents now with bilateral Patient presents now with bilateral ruptured silicone implantsruptured silicone implants

Pre-op PhotosPre-op Photos

Pre-op PhotosPre-op Photos

Six Weeks S/P B/L Capsulectomies, Six Weeks S/P B/L Capsulectomies, Removal of Implants, Placement of 250 Removal of Implants, Placement of 250

cc Mod Plus Gel Implantscc Mod Plus Gel Implants

Six Weeks S/P B/L Capsulectomies, Six Weeks S/P B/L Capsulectomies, Removal of Implants, Placement of 250 Removal of Implants, Placement of 250

cc Mod Plus Gel Implantscc Mod Plus Gel Implants

3 Months Post-op3 Months Post-op

3 Months Post-op3 Months Post-op

53 year-old female with ruptured right breast 53 year-old female with ruptured right breast silicone implant who had b/l capsulectomies, silicone implant who had b/l capsulectomies, exchange of implants from subglandular to exchange of implants from subglandular to

submuscular position, left breast scar revisionsubmuscular position, left breast scar revision

6 Weeks Post-op

53 year-old female with ruptured right breast 53 year-old female with ruptured right breast silicone implant who had b/l capsulectomies, silicone implant who had b/l capsulectomies, exchange of implants from subglandular to exchange of implants from subglandular to

submuscular position, left breast scar revisionsubmuscular position, left breast scar revision

Bilateral Pedicled TRAMBilateral Pedicled TRAM

49 year-old female with history of bilateral 49 year-old female with history of bilateral mastectomes and radiation to left chest mastectomes and radiation to left chest and axilla, right tissue expander presents and axilla, right tissue expander presents for Bilateral Pedicled TRAM Flapsfor Bilateral Pedicled TRAM Flaps

Pre-op PhotosPre-op Photos

Pre-op PhotosPre-op Photos

8 Weeks Post-op Photos8 Weeks Post-op Photos

8 Weeks Post-op8 Weeks Post-op

8 Weeks Post-op8 Weeks Post-op

8 Months Post-op8 Months Post-op

8 Months Post-op8 Months Post-op

62 year old female with history of 62 year old female with history of right breast reconstruction who right breast reconstruction who

presents with ruptured right breast presents with ruptured right breast silicone implant and capsular silicone implant and capsular

contracturecontracture

Before After

Capsulectomy, Exchange of Capsulectomy, Exchange of ImplantsImplants

Capsulectomy, Exchange of Capsulectomy, Exchange of ImplantsImplants

Nipple ReconstructionNipple Reconstruction